Active NPI
Good Health Medical of Brooklyn, P.C.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1972774990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 199964
- Legal business name
- GOOD HEALTH MEDICAL OF BROOKLYN, P.C.
- Practice address
- 2026 Ocean Ave
Suite 1B
Brooklyn, NY 11230-7352 - Phone
- (718) 645-9236
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leo Yankilevich, M.D.
- Title
- President
- Phone
- (718) 645-9236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 199964 | NY | Primary |
Addresses
Primary practice location
2026 Ocean Ave
Suite 1B
Brooklyn, NY 11230-7352
Mailing address
2026 Ocean Ave
Suite 1B
Brooklyn, NY 11230-7352
Phone (718) 645-9236
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018720 | Other | NY | FIDELIS CARE |
| 432740N | Other | NY | CIGNA |
| 87093 | Other | NY | AETNA |
| 01601192 | Medicaid | NY | |
| 199964 | Other | NY | HIP |
| 2C9154 | Other | NY | HEALTHNET |
| 005908 | Other | NY | METROPLUS |
| 45J051 | Other | NY | BCBS |
| 137603 | Other | NY | WELCARE |
| P683045 | Other | NY | OXFORD |
| N130940 | Other | NY | 1199 |
| 10111 | Other | NY | ELDERPALN |
| 2597940 | Other | NY | GHI |
| 45J051 | Other | NY | MAGNACARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2155A Ocean Ave
Brooklyn, NY 11229
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1255355632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1972774990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2026 OCEAN AVE",
"address_2": "SUITE 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307352",
"telephone_number": "718-645-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 OCEAN AVE",
"address_2": "SUITE 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112307352",
"telephone_number": "718-645-9236"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD HEALTH MEDICAL OF BROOKLYN, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "YANKILEVICH",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-645-9236",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "199964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "1018720",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "432740N",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "87093",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01601192",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "199964",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C9154",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPLUS",
"identifier": "005908",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "45J051",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELCARE",
"identifier": "137603",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P683045",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "N130940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPALN",
"identifier": "10111",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2597940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGNACARE",
"identifier": "45J051",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.